Daffern, Pamela J
Daffern, Pamela J is an sole proprietor health care provider with primary practice located at 1020 Tijeras Ave Ne Suite 22, Albuquerque NM 87106-4749. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Daffern, Pamela J can be contacted via phone (505) 848-3124.Contact Information
Primary practice address
1020 Tijeras Ave Ne Suite 22
Albuquerque NM 87106-4749
Phone: (505) 848-3124
Fax: (505) 843-9037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101059354 | Virginia |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 0101059354 | Virginia |
Profile Details
| NPI number | 1043309107 |
|---|---|
| LBN Legal business name | Daffern, Pamela J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Mar 3rd, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043309107 | NPPES |
| New Mexico | Other | 1598933145 | GROUP NPI |
| New Mexico | Other | 1396970281 | GROUP NPI |
| New Mexico | MEDICAID | 94507520 | GROUP NPI |
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